HSS Clinical Coordinator RN - New Orleans or Metairie, LA Markets
- [job_card.full_time]
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. In this Health and Social Services Clinical Coordinator role, you'll support a diverse member population through education, advocacy, and connections to resources to ensure a maximum quality of care and life. You'll interact and collaborate with multidisciplinary care teams, including physicians, nurses, pharmacists and social workers. As a Clinical Coordinator with UnitedHealth Group, we focus on supporting the member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services. We're connecting care to create a seamless health journey for patients across care settings. The result is a culture of performance that's driving the health care industry forward.
This position is full-time (40 hours / week), Monday - Friday (8 : 00am - 5 : 00pm CST). Our work site is located at University Medical Center, 2000 Canal Street, New Orleans, LA 70112; the position will be 75% at the onsite location and 25% remotely. It may be necessary, given the business need, to work occasional overtime.
If you reside in a commutable distance New Orleans / Metairie, LA you will have the flexibility to work remotely
- as you take on some tough challenges.
Assess, plan, and implement care strategies that are individualized for each member
Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
Apply clinical expertise when discussing cases with internal and external Case Managers and Physicians
Facilitate timely and appropriate care and effective discharge planning
Participate in discussions with the Clinical Services team to improve the progression of care to the most appropriate level
Consult with the United HealthCare Medical Director as needed for complex cases and make appropriate referrals to sister segments
Comply with established departmental policies, procedures, objectives, and guidelines
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Active and unrestricted RN licensure in the state of Louisiana
~3+ years of experience as a Registered Nurse in a hospital setting, acute care, direct care experience, community health setting or experience as a telephonic Case Manager
~ Medical-Surgical / ICU / ED experience
~ Case Manager / Utilization Management experience
~ Demonstrated ability to keep all company sensitive documents secure (if applicable)
~ Driver's license and access to reliable transportation, ability to travel up to 75% within assigned territory to meet with members and providers
~ must be able to come to the local office for business meetings as needed
~ Private home office and access to high-speed Internet (Fiber Optic / Cable)
~ Bachelor's degree
Certification in Case Management (CCM)
Field-based work experience
Experience with Microsoft office suites i.e., Outlook, Word, Excel etc.
Background in managing populations with complex medical or behavioral needs
Proficient computer skills to work efficiently with electronic medical records
Proven bilingual skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
#At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace.
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